Health Administration

Medscheme delivers comprehensive, integrated healthcare management solutions, which recognise that flexibility and differentiation are crucial to remain competitive in the highly dynamic medical aid industry.

Our priority is therefore to meet medical aid needs through service excellence, quality, differentiation and personalised solutions, which are delivered through:

  • A unique, client-centred business philosophy
  • Highly skilled, experienced managers and staff
  • State-of-the-art technology
  • Constant monitoring of quality and efficiency
  • Excellence in corporate governance
  • national branch network

Customer-centricity enjoys top priority at Medscheme. Building close partnerships with our clients (medical aid administrators) ensures that we develop deep insights into their strategic objectives. This allows us to design unique service offerings that best meet those objectives.

This philosophy is reflected in the business structure which features teams dedicated to specific clients. Each team is headed by a general manager and supported by a senior management structure, to promote ownership and understanding of each client. The objective is to ultimately deliver service that consistently exceeds client expectations.

We believe that to be successful in this industry, all stakeholders should work together as an integrated team. Our highly skilled managers and employees who are always at the disposal of principal officers and trustees, provide the support and resources necessary to fulfil the scheme members’ mandates.

World-class technology is fundamental to the efficiency of the business. Technology is outsourced to Helios IT Solutions, an innovative ICT company which specialises in the healthcare industry. The company has made substantial investments in developing and maintaining a world-class technology platform that complies with international best practice for the industry.

The state-of-the-art Nexus system used by Medscheme is supported by efficient call centres and a web-based self-help facility, which provides access to real-time information on a 24/7/365 basis. This is complemented by sophisticated electronic communications.

We achieve excellence through our policy of continuous improvement. This approach involves constant monitoring of systems, processes, customer touch points, products and regulatory requirements. Medscheme has also achieved ISO 9001:2008 certification across the major operational areas of the business.

We are acutely aware that the business is responsible for managing public funds on behalf of our medical aid administrators. We have therefore created a stringent internal control environment, which is aligned to King III and other international benchmarking exercises.

Our medical aid clients benefit from a broad national footprint of 17 branches featuring well-equipped Walk-in centres, which are conveniently positioned throughout South Africa.

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